Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mikaela Ann Altis, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366053241

Mikaela Ann Altis, PA-C is a Student in an Organized Health Care Education/Training Program in Fort Leavenworth, Kansas. Practices as a sole proprietor and works from 3 locations. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fort Leavenworth, KS

Additional practice locations (2)

  • 315 W Gary Blvd, Clinton, OK 73601-2835 — (580) 547-0900
  • 3600 N Garfield St, Midland, TX 79705-6329 — (806) 743-3220

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366053241
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 13, 2020
Last updated in NPPESOctober 18, 2024
Certification dateOctober 18, 2024